Organization · Type 2 NPI
Medical Home PL
Primary Care Clinic/Center · St. Petersburg, FL
NPI number
1629485271
Active
Practice location
4401 4th St N
St. Petersburg, FL 33703-4728
Fax (727) 525-7788
Mailing address
PO Box 7651
St. Petersburg, FL 33734-7651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | ME102187 (FL) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1629485271
Medical Home PL's National Provider Identifier is 1629485271, issued on Jul 16, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 11, 2022.